NPI | 1033302922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302412465) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2007025916) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2020-07-10 |